Lio Ivy, Remines Jamie, Nadpara Pramit A, Goode Jean-Venable Kelly R
J Am Pharm Assoc (2003). 2018 Jul-Aug;58(4S):S89-S93. doi: 10.1016/j.japh.2018.05.005.
To compare community pharmacists' comfort levels and knowledge prescribing hormonal contraception before and after a training session and to identify perceived barriers and resources needed to prescribe hormonal contraception.
In this pre-post convenience sample survey study, all 350 pharmacists in the Mid-Atlantic Division of Kroger (which spans parts of Kentucky, North Carolina, Ohio, Tennessee, Virginia, and West Virginia) were surveyed before and after a training session. The survey consisted of several sections: 1) questions rating comfort, 2) knowledge-based multiple-choice assessment questions, 3) perceptions of barriers and resources needed to prescribe hormonal contraception, and 4) demographics. The training session was a 1-hour continuing education about hormonal contraception. Data were analyzed with the use of univariate and bivariate statistics to compare pre- and post-training survey information.
Seventy-eight pharmacists completed both surveys (22.3% response rate). Pharmacists averaged 14 years in pharmacy practice, and 66.6% were female. More pharmacists (31.8%) perceived liability concern as the greatest barrier to pharmacist-initiated contraception. Pharmacist knowledge about hormonal contraception increased in some domains after the training session (P < 0.001). If allowed as a scope of practice in their state, the comfort level of pharmacists in prescribing any type of hormonal contraceptive significantly increased after the training session (P < 0.004).
Pharmacists have an initial lack of knowledge and perceived lack of comfort with prescribing hormonal contraception if allowed in their state of practice. A training session was identified as an effective tool and intervention to increase pharmacists' comfort levels in prescribing hormonal contraception.
比较培训前后社区药剂师在开具激素避孕处方方面的舒适度和知识水平，并确定开具激素避孕处方时感知到的障碍和所需资源。
在这项前后对照的便利样本调查研究中，对克罗格大西洋中部地区分部（覆盖肯塔基州、北卡罗来纳州、俄亥俄州、田纳西州、弗吉尼亚州和西弗吉尼亚州部分地区）的所有350名药剂师在培训前后进行了调查。该调查包括几个部分：1）舒适度评分问题；2）基于知识的多项选择题评估问题；3）对开具激素避孕处方所需障碍和资源的看法；4）人口统计学信息。培训课程是关于激素避孕的1小时继续教育。使用单变量和双变量统计分析数据，以比较培训前后的调查信息。
78名药剂师完成了两项调查（回复率为22.3%）。药剂师的药房工作平均年限为14年，66.6%为女性。更多药剂师（31.8%）认为责任担忧是药剂师启动避孕措施的最大障碍。培训后，药剂师在某些领域关于激素避孕的知识有所增加（P<0.001）。如果所在州允许将其作为执业范围，培训后药剂师开具任何类型激素避孕药的舒适度显著提高（P<0.004）。
如果所在州允许，药剂师最初在开具激素避孕处方方面缺乏知识且感觉不自在。培训课程被确定为提高药剂师开具激素避孕处方舒适度的有效工具和干预措施。
